Lifts Usage Considerations in Health Care Buildings Fire Safety In Healthcare Services Conference 23 May 2019 Lifts Usage Considerations  in Health Care Buildings in the event of Fire and/or Evacuation

INTRODUCTION Max Guijt Senior Lift & Escalator Consultant Fire Safety In Healthcare Services Conference 23 May 2019 Max Guijt Senior Lift & Escalator Consultant OWNER OF Shanderry Elevator Escalator Consultants Ltd. INTRODUCTION OFFICES AT HQ, Portarlington, Co. Offaly London, UK Lyon, France Amsterdam, Netherlands

INTRODUCTION Career background Company background Fire Safety In Healthcare Services Conference 23 May 2019 Career background Maritime Engineer and specialised in Lifts & Escalators 20 years Dutch Royal Navy Formerly a Director with ThyssenKrupp Elevator 15 years experience as a Lift & Escalator Consultant INTRODUCTION Company background The largest lift & escalator consultancy in the Irish State. We currently operate in 13 European Countries, North Africa and the USA. Our partner is Liftinstituut in the Netherlands who are the only dedicated Notified Body in the world specialised in Lifts & Escalators only and are a permanent member on the European CEN/TC 10 technical committee for Lift & Escalator regulations in Europe.

Fire Safety In Healthcare Services Conference 23 May 2019 Lifts Usage Considerations  in Health Care Buildings in the event of Fire and/or Evacuation   HTM 05-03: Part E Behaviour of Lifts in the event of Fire in General What is a Fire Fighters Lift What is an Evacuation Lift Development of a Fire and/or Evacuation Plan incorporating Lifts Management of Evacuation when using Lifts Lift considerations for developing a Fire or Evacuation Plan Applicable Regulations, Guidance Documents and Standards HSE Standard Specifications Q&A  TOPICS Using lifts during a fire emergency For many years, the public has been trained to avoid using lifts during fire emergencies, with warning signs telling people not to use the lifts during fire evacuations. The dangers of using lifts during fire are well known and accepted by both lay persons and experts. However, assuming that there are no insurmountable technological hurdles, there are good reasons for using lifts during a fire emergency: • lifts could be used to evacuate persons who for clinical reasons, or physical disabilities, would be unable to descend stairs without assistance or significant risk of additional injury; • lifts, used in conjunction with stairs, would reduce the amount of time needed to evacuate large buildings; • even for persons without disabilities, descending many flights of stairs is an onerous task in very tall buildings; • fire-fighters could use fire-safe lifts to move personnel and equipment over long vertical distances with greatly enhanced safety and reliability; • where it is not possible to practice evacuation by stairs sufficiently often to ensure competence.

Health Technical Memorandum (HTM) Fire Safety In Healthcare Services Conference 23 May 2019 Health Technical Memorandum (HTM) HSE has adopted the Health Technical Memoranda of the UK HTM 05-03: Operational provisions, Part E: Escape Lifts in Healthcare Premises This document should be considered, when incorporating Lifts in a Health Care Facility The document details the following considerations: Objectives of Escape Lift Provisions Fire safety strategies utilising Escape Lifts Priority of Use Phases of Evacuation with Lifts Alternatives Physical requirements for Escape Lifts Service required for Escape Lifts Operating Escape Lifts

Behaviour of Lifts in the event of Fire Fire Safety In Healthcare Services Conference 23 May 2019 Behaviour of Lifts in the event of Fire  I.S. EN81-73: Behaviour of Lifts in the Event of Fire Lifts should be connected to the Fire Alarm system with a dual signal. In the event of an Fire Alarm the behaviour of the Lift: Lift Returns to the Designated EXIT floor Releases all passenger when Exit floor is reached Lift will go out of use and closes doors to ensure fire integrity of the shaft enclosure In the Lift Car the door open button and alarm button remain active. The Landing Call Button on the Designated Exit floor will open the doors only to enable Fire Fighters to check for trapped passengers.

Behaviour of Lifts in the event of Fire (Continuation) Fire Safety In Healthcare Services Conference 23 May 2019 Behaviour of Lifts in the event of Fire (Continuation) 2. In case of a Fire Alarm on the Designated EXIT floor The Lift will travel to an alternative Exit floor Releases all passenger when the alternative Exit floor is reached Lift will go out of use and closes doors to ensure fire integrity of the shaft enclosure In the Lift Car, the door open button and alarm button remain active The Landing Call Button on the Exit floor will open the doors only to enable Fire Fighters to check for trapped passengers.

What is a Fire Fighters Lift Fire Safety In Healthcare Services Conference 23 May 2019 What is a Fire Fighters Lift A Lift which has protection, controls and signals which enable it to be used under the exclusive control of the firefighters are used to bring the firefighters and their equipment to the required floors. When is a Fire Fighters Lift required Technical Guidance Document B – Fire – Article 5.3.2 Buildings with a floor at more than 20 m above ground level or with a basement at more than 10 m below ground level, should be provided with firefighting shafts containing firefighting lifts.

Behaviour of a Fire Fighters Lift Fire Safety In Healthcare Services Conference 23 May 2019 Behaviour of a Fire Fighters Lift Phase 1 On activation of a Fire Alarm: I.S. EN81-73 - Behaviour of Lifts in the Event of Fire After releasing the passengers: Lift parks with doors open and will be out of service if the designated landing is the Fire Personnel access landing, or; Lift travels further to designated Fire Personnel access landing and parks with doors open and will be out of service.

Behaviour of a Fire Fighters Lift (Continued) Fire Safety In Healthcare Services Conference 23 May 2019 Behaviour of a Fire Fighters Lift (Continued) Phase 2 Fire Fighters can activate the Lift in Fire Fighters Mode by means of dedicated fire fighters switch on the fire fighters access landing. The lift will only operate on car buttons and all landing call buttons are disabled. Door opening will only be activated by constant pressure on the door open button in the car. When the door open button is released the doors will close automatically, except when the door has reached its fully open position.

Requirements for a Fire Fighters Lift Fire Safety In Healthcare Services Conference 23 May 2019 Requirements for a Fire Fighters Lift 2-hour fire rated Shaft Enclosure 2- hour Fire Protected Lobby Dual Power Supply with Switch-over panel in Fire Fighting Lobby 2 – Hour Fire Rate Supply Cables External Rescue facility for trapped Fire Fighters Communication Device on all Landings and in Car Prevention of Water entering into the shaft by means Raised Lift Landing Doors. Sump Pumps in Lift Pits are not permitted Power Supply Switch Panel

Typical Power Supply Fire Fighters Lift Fire Safety In Healthcare Services Conference 23 May 2019 Typical Power Supply Fire Fighters Lift The switch over panel needs to be in the Lift Lobby Supply Cables need to be 2-hour Fire Rated and running different routes Applicable Standards - TDG Part – B Fire - I.S. EN81-72 - Fire Fighters Lifts - BS 5588-5 - Fire Pre-Cautions Note: TDG Part-B is under review and requirements might change

What is an Evacuation Lift Fire Safety In Healthcare Services Conference 23 May 2019 What is an Evacuation Lift A Lift which has protection, controls and signals which enable it to be used under the exclusive control of management to evacuate people in case of fire.   When is a Evacuation Lift required TDG Part B - 1.4.9.1 Evacuation lifts In some circumstances a lift may be needed as part of a management plan for evacuating people with disabilities. In such cases the lift installation needs to be appropriately sited and protected, and needs to contain a number of safety features that are intended to ensure that the lift may remain usable for evacuation purposes during the fire. Guidance on the necessary measures is given in BS 5588: Part 8 and HTM 05-03 part E.

Requirements for an Evacuation Lift Fire Safety In Healthcare Services Conference 23 May 2019 Requirements for an Evacuation Lift 2-hour fire rated Shaft Enclosure 2- hour Fire Protected Lobby Dual Power Supply 30 minute fire rated running different routes Communication Device on all Landings and in Car Is a so-called managed Lift Due consideration needs to given to the available refuge space requirements

Typical Power Supply Evacuation Lift Fire Safety In Healthcare Services Conference 23 May 2019 Typical Power Supply Evacuation Lift Supply Cables need to be Fire Rated and running different routes Applicable Standards - TDG Part – B Fire - TS 81-76 - Evacuation Lifts BS 5588-8 - Fire Pre-Cautions HTM 05-03 part E – Escape Lift in Health Care premises Note: TDG Part-B is under review and requirements might change

Development of a Fire and/or Evacuation Plan incorporating Lifts Fire Safety In Healthcare Services Conference 23 May 2019 Development of a Fire and/or Evacuation Plan incorporating Lifts  Design Team should consist of: Health Service Management Rescue or Fire Services Architect Fire Consultant Lift Consultant M&E Consultant

Development of a Fire and/or Evacuation Plan incorporating Lifts Fire Safety In Healthcare Services Conference 23 May 2019 Development of a Fire and/or Evacuation Plan incorporating Lifts Consideration should be given to when lifts are incorporated in the Fire/Evacuation plan (this list is not exhaustive) : Compartmentalisation Refuge Space and Holding areas No. of Lifts required Size of Lifts required Management of the Lifts during an evacuation

Development of a Fire and/or Evacuation Plan incorporating Lifts Fire Safety In Healthcare Services Conference 23 May 2019 Development of a Fire and/or Evacuation Plan incorporating Lifts Compartmentalisation & Refuge Space and Holding areas European research has shown that the probability of survival of disabled people depends on the smoke protection and fire protection of the Refuge Spaces and Holding areas in Lift Lobbies.

Management of Evacuation when using Lifts Fire Safety In Healthcare Services Conference 23 May 2019 Management of Evacuation when using Lifts Fire Fighters Lifts can also be used as Evacuation Lifts, but this needs to be coordinated and agreed with the Fire Rescue Services. During Evacuation, Lifts only operate on car control buttons and therefore cannot be called on the landing. Dedicated persons need to be appointed to operate the lift and is under managed control. The principal of evacuation with lifts is: Firstly the floor where the fire originates is evacuated On completion of evacuation of fire level, the level above the fire level is evacuated. Then the level below where the fire originated . Then 2 levels above the fire level Then 2 levels below fire level And so on. The above depends on the circumstances, bearing in mind that smoke and fire mainly travel upwards. It is a management decision based on the circumstances which floor have priority in case of evacuation.

Lift considerations for developing a Fire or Evacuation Plan Fire Safety In Healthcare Services Conference 23 May 2019 Lift considerations for developing a Fire or Evacuation Plan Type & Capacity  of Lifts to be considered Bed Patients Persons with impaired mobility No. of Lifts required for an Evacuation of a Health Care Building

Type & Capacity of Lifts to be considered Fire Safety In Healthcare Services Conference 23 May 2019 Type & Capacity  of Lifts to be considered Bed Patients Hospital Beds (2500kg/33person Lifts) Trolleys (1250kg/16-person Lifts to 1600kg/21 person Lifts) Persons with impaired mobility Impaired Mobility and cannot descend stairs. (800kg/10-person Lifts) Wheel Chair Users Wheel Chairs Type A or B (800kg/10-person Lifts to 1250kg/16-person Lifts) Wheel Chair Type C (1250kg/16-person Lifts) ELISAHA GRAVES In 1852 Elisaha Graves Otis invents a safety catch for Lifts. (Safety Gear) This prevents the lift falling if the ropes fail.

No. of Lifts required for an Evacuation in a Health Care Building Fire Safety In Healthcare Services Conference 23 May 2019 No. of Lifts required for an Evacuation in a Health Care Building  The number of lifts depend on the evacuation plan, method and the type of patients or persons that are depending on lifts. Approach Consideration Examples: Evacuation of an ICU ward can need a different approach than a day-clinic, or: Evacuation of a Nursing home with less able people can have the requirement for a full evacuation by means of Lifts only.

Applicable Regulations, Guidance Documents and Standards Fire Safety In Healthcare Services Conference 23 May 2019 Applicable Regulations, Guidance Documents and Standards Safety, Health & Welfare at Work Act Safety, Health & Welfare at Work (General Application) Regulations Safety, Health & Welfare at Work Construction Regulations European Directive 2014/33/EU European Directive 2006/42/EC Building Regulations Building Control (Amendment) Regulations ET101 National Rules for Electrical Installations (Currently being transposed to I.S. 10101:2018)   ISO 4190-1 Class I, II, III & VI Lifts ISO 4190-2 Class IV Lifts ISO 14798 General principles and specific procedures for assessing risk for Lifts I.S. EN81-20 Safety rules for Construction and Installation of Lifts I.S. EN81-28 Remote alarm on lifts I.S. EN81-50 Safety rules for Construction and Installation of Lifts

Applicable Regulations, Guidance Documents and Standards Fire Safety In Healthcare Services Conference 23 May 2019 Applicable Regulations, Guidance Documents and Standards I.S. EN81-58 Lift Doors Fire resistance I.S. EN81-70 Accessibility to lift for people with reduced mobility I.S. EN81-71 Vandal resistance for lifts I.S. EN81-72 Fire Fighters Lifts I.S. EN81-73 Behaviour of Lifts in the event of fire CEN/TS EN81-76 Evacuation Lifts I.S. EN 131-1 Ladders I.S. EN12183 Manual Wheel Chairs I.S. EN12184 Electrically powered Wheel Chairs and Scooters I.S. EN13015 Maintenance for Lifts I.S. 3217 Emergency Lightning I.S. 3218 Fire Alarm Systems BS 5588-5 Fire precautions in the design, construction and use of buildings. Access and facilities for fire-fighting

Applicable Regulations, Guidance Documents and Standards Fire Safety In Healthcare Services Conference 23 May 2019 Applicable Regulations, Guidance Documents and Standards BS 5588-8 Fire precautions in the design, construction and use of buildings – Code of Practise for means of escape for Disabled People HIQA 2017 National Standards for the prevention and control of healthcare-associated infections in acute healthcare services   Department of Health (UK) Health Technical Memorandum 08-02: Lifts Department of Health (UK) Health Technical Memorandum 03-05: Part E - Escape Lifts in healthcare premises

HSE Standard Specifications Fire Safety In Healthcare Services Conference 23 May 2019 HSE Standard Specifications HSE L-01 General Passenger Lift 800kg / 10 person (Wheelchair class A & B) HSE L-02 Public Passenger Lift 1250kg / 16 person (Wheelchair class A, B & C) HSE L-03 Trolley / Stretcher Lift 1600kg / 21 person HSE L-04 Bed Lift 2500kg / 33 person HSE L-05 Goods / Service Lift 2000kg / 26 person HSE L-06 House Keeping Lift 1600kg / 21 person

Design Considerations Type of Building Application Primary Health Care A&E, Hospitals & Elderly Patient Care All Type of Lift Application General Passenger Lift Public Passenger Lift Trolley / Stretcher Lift Bed Lift Goods / Service Lift (Dirty) House Keeping Lift (Clean) HSE document reference HSE_L-01 HSE_L-02 HSE_L-03 HSE_L-04 HSE_L-05 HSE_L-06 Type of Lift General Public Lift Trolleys & Stretchers Beds Lifts only and should preferably be segregated from General Public Staff & Maintenance only Can be General Passenger if house keeping activities are scheduled outside general passenger demands Wheel Chair Class Accessibility Wheel Chair Accessible Class A & B only Wheel Chair Accessible Class A, B & C Wheel Chair Accessible Class A, B & C Type of Application For smaller Health Care Buildings for example Community Hospital, GP surgery & walk-in Health Centers General Passenger Traffic including TGD Part M compliant Intended for carrying on a trolley or a patient on a stretcher with staff or standard empty extended hospital bed Intended for carrying a patient on a standard extended bed with necessary staff and equipment. Furniture/equipment/building materials/equipment maintenance supplies/waste/etc. Intended for the movement of clean items such as mail, stationary, medical supplies, food, linen, etc. Operating Theatre Lifts N/A Where possible provide a dedicated operating theatre lift(s) to segregate occupants from theatre patients. Fire Fighting Lift To be considered as part of building design Evacuation Lift Principal lift details  Type of Lift Drive MRL Traction Capacity 800 1250 1600 2500 2000   10 16 21 33 26 High Light the different applications and where lifts can or cannot combined. For instance and operating theater lifts should not be used for general waste.

Thank You Contact Us: Shanderry Elevator Escalator Consultants LTD Fire Safety In Healthcare Services Conference 23 May 2019 Thank You Contact Us: Shanderry Elevator Escalator Consultants LTD T: +353 (0)57 863 6490 E: info@seec.ie W: www.seec.ie